LAVERTON FC HIGH PERFORMANCE SEASON 2027 TRIAL Player Registration Form
HD GRAHAM RESERVE, ALTONA MEADOWS | 7 SEPT 2026
Player Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
Other
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Current Club
*
Level
*
Please Select
Joey (C)
Wallabies (B)
Kangaroos (A)
Position
*
Parent Contact Information
Parent details
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Relation to Player
Submit
Email
*
example@example.com
Submit
Should be Empty: